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NURS 222 Mental Health Final Exam 2026 | West Coast University | Latest Update | Questions & Answers | Graded A+

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Prepare for your NURS 222 Mental Health Final Exam (2026 Latest Update) with this comprehensive psychiatric nursing review guide designed specifically for West Coast University nursing students. This resource provides a structured, high-yield review of the major concepts covered throughout the Mental Health Nursing course, helping students strengthen clinical reasoning, therapeutic communication skills, mental health assessment abilities, and evidence-based psychiatric nursing care. The guide is organized in a clear and efficient format to support cumulative final exam preparation, improve retention of key concepts, and build confidence in applying mental health nursing principles to patient scenarios.

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NURS 222 Mental Health Final Exam 2026 | West Coast
University | Latest Update | Questions & Answers | Graded
A+
1. Most drugs used to treat schizophrenia block dopamine receptors by binding
to them, preventing dopamine from binding to the receptors themselves.
These drugs function as

antagonists.

anxiolytics.

agonists.

anandamides.

2. What is the primary class of antipsychotic medications that block dopamine
receptors?

Atypical antipsychotics

Mood stabilizers

Antidepressants

Typical antipsychotics

3. In the early 1960s, studies revealed that dopamine (DA) is the primary
neurotransmitter in schizophrenia. Which class of antipsychotic medications
emerged as the primary choice for blocking DA, based on its effectiveness?

Second-generation (atypical) antipsychotics

First-generation (typical) antipsychotics

Serotonin-based antipsychotics

Agranulocytosis-modulating antipsychotics

,4. Which drug class does clozapine belong to?

Tricyclic antidepressants

Typical antipsychotics

Mood stabilizers

Atypical antipsychotics

5. Maintenance level of lithium

0.7-1.4 mEq/L

0.6-1.2 mEq/L

1.0-2.5 mEq/L

0.5-0.9 mEq/L

6. What psychological defense mechanism involves providing logical reasons
for behaviors that are actually motivated by irrational factors?

Rationalization

Displacement

Denial

Projection

7. What is the definition of beneficence in mental health care?

The principle of acting in the best interest of the patient.

The principle of ensuring informed consent.

The principle of maintaining patient confidentiality.

The principle of avoiding harm to the patient.

,8. What is a key symptom of Histrionic personality disorder?

Excessive emotionality

Social withdrawal

Lack of empathy

Obsessive thoughts

9. What is a key symptom of Narcissistic Personality Disorder?

Fear of abandonment

Mood swings

A sense of grandiosity

Excessive empathy

10. What is the definition of repression in psychological terms?

Repression is a conscious decision to forget unpleasant experiences.

Repression is a technique used to enhance memory recall.

Repression is a defense mechanism that involves unconsciously
blocking out painful or threatening thoughts and memories.

Repression is a method of coping with stress by seeking social
support.

11. A client with OCD is in the bathroom washing their hands for the last 20
minutes. Which of the following responses by the nurse is the most
appropriate?

"I'm going to turn the water off now so that you can join group
therapy."

"Stop that immediately. You're wasting water."

, "You've been washing your hands for the last 20 minutes, you have 2
more minutes to wash your hands. Then you have to do your
activities for the day."

12. Negative symptoms of schizophrenia include all of the following EXCEPT:

anhedonia.

delusions.

avolition.

alogia.

13. A primary characteristic of histrionic personality disorder is

overly dramatic and attention-seeking behavior

multiple, vague physical complaints.

inability to make realistic life plans.

avoidance of others.

14. Describe how splitting can affect interpersonal relationships.

Splitting encourages consistent perceptions of others.

Splitting has no significant impact on relationships.

Splitting fosters deeper connections by promoting understanding.

Splitting can lead to unstable relationships as individuals may
alternate between idealizing and devaluing others.

15. Can occur within the first few days of taking an antipsychotic medication and
involves extremely high fever, muscle rigidity, and irregular heart rate and
blood pressure.

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